Home Transfusion for HEME

Inclusion Criteria: * Patients with advanced hematologic malignancies: * Diagnosis of a hematologic malignancy * Age ≥ 18 years * Receipt of primary oncologic care at DFCI (at least 2 outpatient visits in 12 months prior to enrollment) * Has received at least one red blood cell (RBC) or platelet transfusion since blood cancer diagnosis in the clinic or hospital setting without a serious adverse transfusion reaction * Physician-estimated prognosis of six months or less * Has an adult informal caregiver that lives in the same residence * Patient resides within catchment served by Care Dimensions Hospice * Caregivers: * Identified informal caregiver of enrolled patient with hematologic malignancy * Age ≥ 18 years Exclusion Criteria: * Patients * Age \< 18 years * Does not have an identified adult informal caregiver who lives in the same residence * History of previous serious adverse transfusion reaction * Presence of decompensated congestive heart failure * Caregiver * Age \< 18 years * Our study will exclude members of the following special populations: * Adults unable to consent * Individuals who are not yet adults (infants, children, teenagers) * Pregnant women * Prisoners